Mountain Smiles - Burlington Family Dental Care, PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

MOUNTAIN SMILES - BURLINGTON FAMILY DENTAL CARE, PLLC

Practice address

1250 S Burlington Blvd
Burlington, WA 98233-3316

Phone

(360) 755-7566

Fax

(719) 414-0027

NPI assigned

May 8, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Nick Sundiam

Title

Credentialing Manager

Phone

(719) 300-5933

Specialties & licenses 1

Addresses

Other names 1

• Burlington Family Dental Care Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William Taras Kobylnyk, DDS

  • Dentist
  • Burlington, WA
  • NPI 1629137633
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1715126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738108800000",
    "number": "1659129294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 S BURLINGTON BLVD",
            "city": "BURLINGTON",
            "state": "WA",
            "postal_code": "982333316",
            "telephone_number": "360-755-7566",
            "fax_number": "719-414-0027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 S BURLINGTON BLVD",
            "city": "BURLINGTON",
            "state": "WA",
            "postal_code": "982333316",
            "telephone_number": "360-755-7566",
            "fax_number": "719-414-0027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN SMILES - BURLINGTON FAMILY DENTAL CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-08",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-22",
        "status": "A",
        "authorized_official_last_name": "SUNDIAM",
        "authorized_official_first_name": "NICK",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "719-300-5933"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Burlington Family Dental Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Burlington Family Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sharlene Ihilani Moore, RD, CD
• Roseanne Moran
• Amber Dawn Morris
• Brita Morris
• Michelle K Moser, RPH
• Cierra Roselynn Mulvihill
• Richard Wilson Nash, DDS
• National Vision Inc
• Rebecca L Neff, RN
• Kathleen Elizaeth Nelson, AA

• Dentist in Burlington, WA
• Providers in Burlington, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.